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1.
Memorandum ; 38: [1-29], jan.2021.
Article in Portuguese | LILACS | ID: biblio-1352843

ABSTRACT

O objetivo deste artigo é descrever a representação dos ciganos no panteão umbandista e modos característicos de uso e o sentido psicológico da sua inclusão neste contexto. Para esse efeito foram realizadas pesquisa etnográfica e consulta a banco de dados com registros audiovisuais de rituais umbandistas e entrevistas com médiuns incorporados e não incorporados por espíritos da linha cigana. A análise de dados foi feita a partir da identificação dos pontos de convergência nas observações diretas e indiretas (registros audiovisuais),nas entrevistas e no diário de campo. Em seguida foi feita uma comparação com o que a literatura refere relativamente às outras categorias de espíritos. Encontrou-se que a chamada linha dos ciganos, de um ponto de vista etnopsicológico, não agrega novos conteúdos simbólicos à umbanda, mas reorienta sentidos previamente existentes, numa perspectiva de futuro.


The purpose of this paper is to describe the representation of gypsies in the Umbanda pantheon and the characteristic ways of using it and the psychological sense of its inclusion in this context. For this purpose, ethnographic research was carried out and a database was consulted with audiovisual records of Umbanda rituals and interviews with mediums incorporated and not incorporated by gypsy spirits. Data analysis was performed based on the identification of points of convergence, that is, the elements that were repeated in direct and indirect observations (audiovisual records), in interviews and in the field notes. Then a comparison was made with what the literature refers to in relation to other categories of spirits. It was found that the so-called gypsy line, from an ethnopsychological point of view, does not add new symbolic content to Umbanda, but rather redirects previously existing meanings in a perspective of the future.


Subject(s)
Ethnology , Religion and Psychology , Rome , Ceremonial Behavior
2.
Article in English | LILACS | ID: biblio-1104199

ABSTRACT

Gypsies have been in Brazil since the 16th century and today they are more than 800,000 in the country. This article describes the veterinary use of plants by Calon gypsies living in Pernambuco, Northeastern Brazil. The research was carried out with 23 people (> 40 years old), using semi-structured forms and the snowball technique. The cited species were collected during guided tours, identified and deposited at the IPA and UFP herbaria. Ten plants were indicated for veterinary use: Agave sisalana (Asparagaceae), Aspidosperma pyrifolium (Apocynaceae), Apodanthera congestiflora (Cucurbitaceae), Heliotropium indicum (Boraginaceae), Lippia alba (Verbenaceae), Momordica charantia (Cucurbitaceae), Nicotiana tabacum (Solanaceae), Passiflora cincinnata (Passifloraceae), Phaseolus lunatus (Fabaceae), and Solanum paniculatum (Solanaceae). The participants cited various methods of preparation and therapeutic indications for ectoparasitic infections, digestive disorders, and eye and respiratory infections in farm animals. Apodanthera congestiflora and H. indicum stood out for prophylaxis and treatment of Newcastle disease in fowl.


Los gitanos están en Brasil desde el siglo XVI y hoy, son más de 800.000 en el país. Este artículo describe el uso veterinario de plantas por gitanos Calon que viven en Pernambuco, Noreste de Brasil. La encuesta fue realizada con 23 personas (> 40 años), utilizando formularios semi-estructurados y la técnica bola de nieve. Las especies citadas fueron recolectadas en giras guiadas, identificadas y depositadas en los herbarios IPA y UFP. Diez plantas fueron citadas para uso veterinario: Agave sisalana (Asparagaceae), Aspidosperma pyrifolium (Apocynaceae), Apodanthera congestiflora (Cucurbitaceae), Heliotropium indicum (Boraginaceae), Lippia alba (Verbenaceae), Momordica charantia (Cucurbitaceae), Nicotiana tabacum (Solanaceae), Passiflora cincinnata (Passifloraceae), Phaseolus lunatus (Fabaceae) y Solanum paniculatum (Solanaceae). Los participantes citaron varios modos de preparación e indicaciones terapéuticas para infecciones ectoparasitarias, disturbios digestivos, infecciones oculares y respiratorias en animales domésticos. Apodanthera congestiflora y H. indicum se destacaron en la profilaxis y tratamiento de la enfermedad de Newcastle en aves.


Subject(s)
Humans , Plants, Medicinal/chemistry , Veterinary Medicine , Rome , Medicine, Traditional , Brazil , Ethnopharmacology
3.
Article in English | WPRIM | ID: wpr-762460

ABSTRACT

BACKGROUND: Carbapenem-resistant K. pneumoniae 2297, isolated from a patient treated with tigecycline for pneumonia, developed tigecycline resistance, in contrast to carbapenem-resistant isolate 1215, which was collected four months prior to the 2297 isolate. Mechanisms underlying tigecycline resistance were elucidated for the clinical isolates. METHODS: The tigecycline minimum inhibitory concentration (MIC) was determined using the broth microdilution method, with or without phenylalanine-arginine β-naphthylamide (PABN), and whole-genome sequencing was carried out by single-molecule real-time sequencing. The expression levels of the genes acrA, oqxA, ramA, rarA, and rpoB were determined by reverse-transcription quantitative PCR. RESULTS: Both isolates presented identical antibiograms, except for tigecycline, which showed an MIC of 0.5 mg/L in 1215 and 2 mg/L in 2297. The addition of PABN to tigecycline-resistant 2297 caused a four-fold decrease in the tigecycline MIC to 0.5 mg/L, although acrA expression (encoding the AcrAB efflux pump) was upregulated by 2.5 fold and ramA expression (encoding the pump activator RamA) was upregulated by 1.4 fold. We identified a 6,096-bp fragment insertion flanking direct TATAT repeats that disrupted the romA gene located upstream of ramA in the chromosome of K. pneumoniae 2297; the insertion led the ramA gene promoter replacement resulting in stronger activation of the gene. CONCLUSIONS: The K. pneumoniae isolate developed tigecycline resistance during tigecycline treatment. It was related to the overexpression of the AcrAB resistance-nodulation-cell division efflux system due to promoter replacement.


Subject(s)
Humans , Klebsiella pneumoniae , Klebsiella , Methods , Microbial Sensitivity Tests , Pneumonia , Polymerase Chain Reaction , Rome
4.
Article in English | WPRIM | ID: wpr-762456

ABSTRACT

BACKGROUND: Tumor markers are useful for detection and preoperative evaluation of ovarian tumors. We evaluated the clinical usefulness of cancer antigen (CA) 125, human epididymis 4 (HE4), and CA72-4 levels and Risk of Ovarian Malignancy Algorithm (ROMA) values for differential diagnosis of malignant and borderline tumors among suspected ovarian tumors, and the effects of endometriosis on these tumor markers. METHODS: In a total of 266 patients (213, 14, and 39 with benign, borderline and malignant tumors, respectively), CA125, HE4, and CA72-4 levels were measured, and ROMA values were calculated. Medians of each marker were compared among the three groups. The area under the ROC curve (AUC), sensitivity, and specificity were calculated to analyze the diagnostic performance of each marker. RESULTS: All markers were significantly higher in the malignant group than in the benign group. HE4 levels and ROMA values were significantly higher in the malignant group than in the borderline group. ROMA value had the highest AUC for distinguishing the malignant and borderline groups from the benign group in premenopausal (0.773) and postmenopausal (0.927) patients. CA125 level was significantly higher in patients with endometriosis than in those without (P<0.001), whereas HE4 and CA72-4 levels were not affected by endometriosis (P=0.128 and 0.271, respectively). CONCLUSIONS: ROMA value is the best marker to distinguish malignant and borderline tumors from benign tumors in pre- and postmenopausal patients. HE4 and CA72-4 levels provide information on possible CA125 elevation due to endometriosis.


Subject(s)
Area Under Curve , Biomarkers, Tumor , Diagnosis, Differential , Endometriosis , Epididymis , Female , Humans , Male , ROC Curve , Rome , Sensitivity and Specificity
5.
Psicol. ciênc. prof ; 39(spe): 67-84, jan./ Mar.2019. tab, ilus
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1017272

ABSTRACT

Compreendendo fases sucessivas do momento de proteção, aprendizagem e preparação para se tornarem adultas, na infância, as crianças ciganas vão sendo formadas para uma vida em grupo e voltada para o núcleo familiar. A partir dos conceitos de socialização étnica e de identidade social, o estudo foi desenvolvido com o objetivo de analisar o universo psicossocial da infância calin entre crianças de etnia calon no estado do Espírito Santo. Participaram do estudo sete crianças, com idades entre 4 e 12 anos, que compõem a terceira geração da comunidade, a primeira após processo de fixação territorial. As entrevistas foram orientadas por um roteiro semiestruturado explorando os universos da lei cigana, tradições do grupo e vivências cotidianas, bem como técnicas de desenho a fim de conhecer as imagens de si, da família e de futuro. Todas as entrevistas foram realizadas no acampamento cigano e os dados foram analisados por meio da análise de conteúdo temática. Os principais resultados demonstraram que as crianças calin destacam em suas narrativas a vivência da lei cigana e das tradições por meio do uso de vestimentas típicas e da língua caló, moradia em tendas e obediência às normas para o matrimônio, bem como relatam rotinas envolvendo brincadeiras, escolarização e atividades de mediação para o universo adulto....(AU)


Comprising successive phases of the moment of protection, learning and preparation to become adults, gypsy children are being raised for a life in group and geared towards the family nucleus. Based on the concepts of ethnic socialization and social identity, the study was developed in order to analyze the psychosocial universe of Calin childhood among Calon children in the State of Espírito Santo. Seven children aged between 4 and 12 years participated in the study. They make up the third generation of the community, the first one after the process of territorial settlement. The interviews were guided by a semi-structured script exploring the universes of Gypsy law, group traditions and everyday experiences, as well as drawing techniques in order to know the images of oneself, the family and the future. All the interviews were carried out in the Gypsy camp and the data were analyzed through the thematic content analysis approach. The main results showed that Calin children emphasize in their narratives the experience of Gypsy law and traditions through the use of typical dress and Caló language, residence in tents and obedience to norms for marriage, as well as routines involving games, schooling and mediation activities for the adult universe. In this scenario, the resistance movements of the group rise, in which the new generation will have to protect the essential identity elements of the Gypsy culture and create resources to maintain their sociability in transit on the borders with the non-Gypsy world....(AU)


En la infancia, los niños gitanos se van formando para una vida en grupo y orientada hacia el núcleo familiar, comprendiendo fases sucesivas del momento de protección, aprendizaje y preparación para hacerse adultos, en la infancia. A partir de los conceptos de socializaciónétnica y de identidad social, el estudio fue desarrollado con el objetivo de analizar el universo psicosocial de la infancia calin entre niños de etnia calon en el estado de Espírito Santo. Participaron del estudio 7 niños, entre 04 y 12 años de edad, que componen la tercera generación de la comunidad, la primera después del proceso de fijación territorial. Las entrevistas fueron orientadas por un guion semiestructurado explorando los universos de la ley gitana, tradiciones del grupo y vivencias cotidianas, así como técnicas de dibujo a fin de conocer las imágenes de sí, de la familia y del futuro. Todas las entrevistas se realizaron en el campamento gitano y los datos fueron analizados por medio del análisis de contenido temático. Los principales resultados demostraron que los niños calin destacan en sus narrativas la vivencia de la ley gitana y de las tradiciones por medio del uso de ropas típicas y de la lengua caló, vivienda en tiendas y obediencia a las normas para el matrimonio, así como también relatan rutinas que involucran juegos, escolarización y actividades de mediación para el universo adulto. En este contexto, se manifiestan movimientos de resistencia del grupo, en el que la nueva generación tendría como tarea mantener los elementos identitarios esenciales de la cultura gitana y crear recursos para mantener su sociabilidad en tránsito en las fronteras con el mundo no gitano....(AU)


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Socialization , Rome , Child Day Care Centers
6.
Article in English | AIM | ID: biblio-1257672

ABSTRACT

Background: The role of village health workers (VHWs), among other roles is to educate communities about tuberculosis (TB), TB screening and its treatment. The knowledge of TB among VHWs is crucial because they will carry out their role at the community well and this will impact the overall outcome of TB treatment. Aim: The study is aimed at assessing the knowledge of TB among VHWs and households at the village level and the utilisation of VHWs' TB services. Setting: The study took place in 19 health centres from 10 districts of Lesotho. Methods: The study used a cross-sectional descriptive design. Three study populations were interviewed, two at the household level (2040 households, 8295 individuals) and one at the clinic level (723 VHW). Results: Overall, TB knowledge among VHWs for the majority of clinics except two was inadequate (below mean of 31.5). The utilisation of VHWs' TB services among community members was also low. Conclusion: Low utilisation of VHWs' TB services by community members emanated from inadequate TB knowledge of VHWs. Regular refresher training among VHWs is recommended as the way forward in order to keep VHWs abreast with new TB developments


Subject(s)
Community Health Workers , Lesotho , Rome , Tuberculosis
7.
Article in English | WPRIM | ID: wpr-764574

ABSTRACT

OBJECTIVE: To identify the power of tumor markers for predicting ovarian cancer according to menopausal status. METHODS: The medical records of 876 women with ovarian cysts were retrospectively reviewed. Cancer antigen 125 (CA 125), human epididymis protein 4 (HE4), and Risk of Ovarian Malignancy Algorithm (ROMA) were analyzed. Sensitivity, specificity, and the receiver operating characteristic (ROC) curve analyses of these tumor markers were evaluated. RESULTS: The sensitivity of ROMA was 66.7% and the specificity was 86.8% to detect ovarian malignancy. The patients were divided into 2 groups according to menopausal status: premenopause (n=532, 60.7%) and postmenopause (n=344, 39.3%). For diagnostic accuracy, ROMA was lower than HE4 in premenopausal women (82.7% vs. 91.4%) and lower than CA 125 in postmenopausal women (86.9% vs. 88.7%). The ROC curve analysis revealed that the power of ROMA was not significantly better than that of HE4 in premenopausal women (area under the curve [AUC], 0.731 vs. 0.732, p=0.832), and it was also not significantly better than that of CA 125 in postmenopausal women (AUC, 0.871 vs. 0.888, p=0.440). CONCLUSION: The discrimination power of tumor markers for ovarian cancer was different according to menopausal status. In predicting ovarian malignancy, ROMA was neither superior to HE4 in premenopausal women nor superior to CA 125 in postmenopausal women.


Subject(s)
Biomarkers, Tumor , CA-125 Antigen , Discrimination, Psychological , Epididymis , Female , Humans , Male , Medical Records , Menopause , Ovarian Cysts , Ovarian Neoplasms , Postmenopause , Premenopause , Retrospective Studies , ROC Curve , Rome , Sensitivity and Specificity
8.
Psicol. rev. (Belo Horizonte) ; 24(2): 616-637, maio-ago. 2018. ilus, tab
Article in Portuguese | LILACS | ID: biblio-1040883

ABSTRACT

Tendo como referência a abordagem não consensual da teoria das representações sociais, este trabalho teve como objetivo investigar como se articulam as representações sociais e a dimensão afetiva associadas ao objeto social "ciganos", entre população não cigana da Grande Vitória-ES. Foram desenvolvidos dois estudos complementares com (1) 108 estudantes universitários e (2) 10 sujeitos que associaram sentimentos de valoração negativa aos ciganos. A coleta dos dados foi realizada por meio da aplicação de questionário e de entrevista em profundidade, e o tratamento das informações obtidas foi conduzido com o auxílio dos softwares SPAD-T e Alceste. Os resultados indicaram a (re)produção de estereótipos negativos vinculados aos ciganos e a dimensão afetiva fortemente marcada por medo e aversão, núcleo de preconceito e discriminação contra os ciganos.


Having as a reference the non-consensual approach of the Theory of Social Representations, this study aimed to investigate how the social representations and the affective dimension associated with the social object "Gypsies" among non-Gypsy population within the metropolitan area of Vitória-ES. Two complementary studies were developed with (1) 108 college students and (2) 10 subjects who linked feelings of negative assessment towards the Gypsies. Data collection was performed by applying a questionnaire and in-depth interview and the handling of the obtained information was processed with the help of SPAD-T and Alceste softwares. The results showed the (re)production of negative stereotypes linked to Gypsies and the affective dimension strongly marked by fear and aversion, core of prejudice and discrimination against Gypsies.


En este trabajo se analizan las relaciones sociales y la dimensión afectiva asociadas al objeto social "gitanos", entre población no gitana de la Gran Victoria-ES, teniendo como referencia el abordaje no consensuado de la Teoría de las Representaciones Sociales. Dos estudios complementarios fueron desarrollados con (1) 108 estudiantes universitarios y (2) 10 sujetos que asociaron sentimientos de valoración negativa a los gitanos. La recolección de los datos fue realizada por medio de la aplicación de cuestionario y de entrevista en profundidad y el tratamiento de las informaciones obtenidas fue conducido con la ayuda del software SPAD-T y Alceste. Los resultados indicaron la (re) producción de estereotipos negativos vinculados con los gitanos y la dimensión afectiva fuertemente marcada por miedo y aversión, núcleo de prejuicio y discriminación contra los gitanos.


Subject(s)
Stereotyping , Rome , Interpersonal Relations
9.
Rev. adm. pública (Online) ; 52(1): 1-23, jan.-fev. 2018. tab
Article in Spanish | LILACS | ID: biblio-897271

ABSTRACT

Resumen En España, muchas actuaciones de erradicación del chabolismo se centraban únicamente en la eliminación de los aspectos más visibles del problema, generando desacuerdo social. Este trabajo analiza en qué medida las nuevas políticas de realojo y dispersión aplicadas recientemente en los poblados chabolistas del noroeste de este país fomentan actitudes favorables hacia la inclusión social de las personas desplazadas, la mayoría de etnia gitana. Para ello se ha realizado un cuestionario que recoge las percepciones tanto de los afectados por los realojos como de las personas que los acogen en sus vecindarios. Mediante el análisis cuantitativo y exploratorio de los datos, se ha detectado una buena predisposición social hacia la inclusión social de las personas chabolistas en las viviendas normalizadas, identificando aquellos aspectos en los que es necesario reforzar este tipo de intervenciones.


Na Espanha, muitas ações de erradicação de favelas foram focadas apenas na eliminação dos aspectos mais visíveis do problema, criando discórdia social. Este artigo analisa em que medida as novas políticas de reassentamento e dispersão recentemente implementadas nas favelas do noroeste do país promovem atitudes favoráveis à inclusão social das pessoas deslocadas, a maioria ciganos. Para isso, foi feito um questionário que captura as percepções de dois grupos: os que foram reassentados e as pessoas que os recebem em seus bairros. Por meio da análise de dados quantitativos e exploratória, temos detectado uma boa predisposição social para a inclusão social dos moradores de favelas em habitações normais, identificando os aspectos que necessitam de reforço dessas intervenções.


Abstract In Spain, many experiences in slum clearance have been focused solely on eliminating the most visible aspects of the problem, creating social dissatisfaction. This article analyzes the extent to which new policies of relocation and dispersion recently applied in the slum areas of northwest Spain, foster favorable attitudes towards social inclusion of the displaced persons, who are mostly Roma. A questionnaire was applied in order to capture the perception of both those affected by relocations and those who receive the displaced persons in their neighborhoods. By quantitative, exploratory data analysis, we have detected a good social predisposition towards social inclusion of underprivileged people in the process of adaptation to live in houses with appropriate infrastructure, identifying those aspects needed to strengthen these kinds of interventions.


Subject(s)
Spain , Rome , Poverty Areas , Policy , Desegregation
10.
Pesqui. prát. psicossociais ; 12(3): 1-19, set.-dez. 2017. tab
Article in Portuguese | LILACS | ID: biblio-895287

ABSTRACT

Este trabalho investigou a elaboração do objeto social 'ciganos' entre não ciganos da Grande Vitória/ES, a partir da dimensão afetiva e dos níveis de contato em relação ao grupo cigano. Participaram do estudo 56 pessoas, com idades entre 18 e 45 anos, que apresentaram tanto sentimentos positivos quanto negativos em relação aos ciganos. Para o tratamento dos dados, coletados por meio da aplicação de questionário, utilizou-se o software EVOC e a Análise de Conteúdo Categorial. Os resultados informam que o posicionamento afetivo se organiza, principalmente, a partir das dimensões positiva 'curiosidade' e 'respeito', e negativa 'insegurança' e 'desconfiança'. Associado a esse campo de ambiguidades, entre os elementos centrais das representações de ciganos encontram-se significados como 'nomadismo' e 'cultura diferente', além de estereótipos negativos e termos que descrevem a dimensão figurativa do objeto social. Discute-se a função das representações encontradas na manutenção do preconceito e da discriminação social contra esse grupo.


This study investigated the construction of the social object 'gypsies' among non-gypsies in the metropolitan region of Vitória/ES, based on the affective dimension and the levels of contact towards the gypsy group. Fifty-six (56) individuals aged between 18 and 45 participated in the study. They presented both positive and negative feelings towards gypsies. The data were gathered through questionnaires, and then treated using the software EVOC and Categorical Content Analysis approach. The results showed that the affective field is organized mainly based on the positive dimensions 'curiosity' and 'respect', and the negative ones 'insecurity' and 'suspicion'. Associated to this field of ambiguity, among the central elements of the representations of gypsies, we found meanings such as 'nomadism' and 'different culture', as well as negative stereotypes and terms that describe the figurative dimension of the social object. This study discusses the function of these representations in the maintenance of prejudice and social discrimination against this group.


Este trabajo investigó la elaboración del objeto social 'gitanos' entre los no gitanos de la Gran Vitória/ES, a partir de la dimensión afectiva y de los niveles de contacto con relación al grupo gitano. Participaron en el estudio 56 personas de 18 a 45 años de edad que presentaron tanto sentimientos positivos como negativos con relación a los gitanos. Para el análisis de los datos, recogidos por medio de cuestionarios, se utilizó el software EVOC y el Análisis de Contenido Categorial. Los resultados informan que la posición afectiva se organiza, principalmente, a partir de las dimensiones positivas 'curiosidad' y 'respeto'; y negativas 'inseguridad' y 'desconfianza'. Asociado a este campo de ambigüedades, entre los elementos centrales de las representaciones de gitanos, se encuentran significados como 'nomadismo' y 'cultura diferente', además de estereotipos negativos y términos que describen la dimensión figurativa del objeto social. Se discute la función de las representaciones encontradas en el mantenimiento del prejuicio y de la discriminación social contra este grupo.


Subject(s)
Social Desirability , Rome , Psychology, Social , Race Relations , Stereotyping , Population Groups , Interpersonal Relations
12.
Ann. hepatol ; 16(1): 107-114, Jan.-Feb. 2017. graf
Article in English | LILACS | ID: biblio-838092

ABSTRACT

Abstract: Background. Sarcopenia is a complication and independent risk factor for mortality in patients with liver cirrhosis. Aim. To assess the prevalence and influence of sarcopenia on overall survival in a cohort of cirrhotic patients with hepatocellular carcinoma managed in a tertiary center. Material and methods. Abdominal computed tomography of 92 consecutive hepatocellular carcinoma cirrhotic patients, enrolled and followed from 2004 to 2014, were retrospectively studied with a software analyzing the cross-sectional areas of muscles at third lumbar vertebra level. Data was normalized for height, skeletal muscle index (SMI) calculated and presence of Sarcopenia measured. Sarcopenia was defined by SMI ≤ 41 cm2/m2 for women and ≤ 53 cm2/m2 for men with body mass index (BMI) ≥ 25, and ≤ 43 cm2/m2 for men and women with BMI < 25, respectively. Results. Median age at diagnosis was 71.9 years (30.7-86.4) and BMI 24.7 (17.5-36.7), comparable in women 23.1, (17.5-36.7) and men 24.7 (18.4-36.7). A class of CHILD score and BCLC A prevailed (55.4% and 41.3%, respectively); metastatic disease was found in 12% of cases. Sarcopenia was present in 40.2% of cases, mostly in females (62.9%; p = 0.005). Mean overall survival was reduced in sarcopenic patients, 66 (95% CI 47 to 84) vs. 123 (95% CI 98 to 150) weeks (p = 0.001). At multivariate analysis, sarcopenia was a predictor of reduced overall survival, independent of age (p = 0.0027). Conclusions. This retrospective study shows high prevalence of sarcopenia among cirrhotic patients with hepatocellular carcinoma. Presence of sarcopenia was identified as independent predictor of reduced overall survival. As easily measurable by CT, sarcopenia should be determined for prognostic purposes in this patient population.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Carcinoma, Hepatocellular/mortality , Sarcopenia/mortality , Liver Cirrhosis/mortality , Liver Neoplasms/mortality , Prognosis , Rome/epidemiology , Time Factors , Tomography, X-Ray Computed , Prevalence , Multivariate Analysis , Retrospective Studies , Risk Factors , Carcinoma, Hepatocellular/secondary , Carcinoma, Hepatocellular/therapy , Carcinoma, Hepatocellular/diagnostic imaging , Risk Assessment , Kaplan-Meier Estimate , Sarcopenia/diagnostic imaging , Tertiary Care Centers , Liver Cirrhosis/diagnostic imaging , Liver Neoplasms/pathology , Liver Neoplasms/therapy , Liver Neoplasms/diagnostic imaging
14.
Article in English | WPRIM | ID: wpr-74561

ABSTRACT

OBJECTIVE: To estimate the incidence of falsely elevated risk of ovarian malignancy algorithm (ROMA) in a group of women with pathologically confirmed endometrioma and to investigate the associated factors. METHODS: One hundred premenopausal women surgically diagnosed with ovarian endometrioma were selected. Preoperative clinical, laboratory, and surgical characteristics were compared between the elevated-risk group (ROMA-premenopausal value, ≥7.4%) and normal-risk group (ROMA-premenopausal value, 82.3 U/mL and serum level of human epididymis protein 4 (HE4) >46 pmol/L could predict an elevated ROMA test with a statistical significance. When serum level of HE4 ≤46 pmol/L, none of the women showed an elevated ROMA test, regardless of serum level of CA 125; however, 55.6% of the women showed an elevated ROMA test when serum level of HE4 >46 pmol/L and CA 125 ≤82.3 U/mL and all women showed an elevated ROMA test when serum level of HE4 >46 pmol/L and CA 125 >82.3 U/mL. CONCLUSION: The incidence of falsely elevated ROMA was 15% in the group of women with pathologically confirmed endometrioma. Interpretation of the ROMA results should be cautious when serum level of HE4 >46 pmol/L and CA 125 >82.3 U/mL in women with suspicious ovarian endometrioma.


Subject(s)
Endometriosis , Epididymis , Female , Humans , Incidence , Kidney Failure, Chronic , Male , Rome
15.
Rev. med. Rosario ; 80(3): 135-135, sept.-dic. 2014.
Article in Spanish | LILACS | ID: lil-740638

ABSTRACT

La nota hace referencia a las crisisconvulsivas sufridas por el libertador General José de San Martín durante su estancia en la ciudad de Roma a mediados del Siglo XIX.


The note refers to theseizures suffered by José de San Martín during his stay in Rome in the mid- nineteenth century.


Subject(s)
Humans , Aged , History, 19th Century , Epilepsy , Health Status , Argentina , History, 19th Century , Rome
16.
Estud. interdiscip. envelhec ; 18(2): 227-255, dez. 2013. tab, graf, ilus
Article in Portuguese | LILACS | ID: lil-731545

ABSTRACT

O progressivo envelhecimento da população comporta um aumento no número de pessoas idosas que apresentam problemas de natureza biológica, psicológica, sociológica e de relações sociais e interpessoais. Estima-se que em 2030, os velhos com mais de 65 anos constituirão um quarto da população que compreende os atuais países da União Europeia. Nem sempre são difundidos os serviços que podem responder adequadamente às múltiplas exigências dos velhos. Entre os problemas mais emergentes, aparecem a solidão, a ausência de espaços de relação, os temores crescentes de marginalização, as agressões (especialmente nas grandes cidades) e o medo da doença e da invalidez. Outro problema são as perdas decorrentes do declínio cognitivo e afetivo. A partir desse estudo, percebe-se que a família e o grupo de assistência raramente são preparados de modo apropriado para enfrentar as novas demandas e as dificuldades que se manifestam ainda sob o plano clínico. A família com frequência esforça-se para apoiar e ajudar os idosos, mas mesmo assim tem-se consciência da importância de novas estruturas e serviços locais em condições de satisfazer as exigências da população idosa. Nesse contexto, o Centro Dia de Idosos Frágeis representa uma resposta qualificada às necessidades que emergem; de fato, permite ao idoso permanecer no próprio domicílio, às suas famílias continuarem próximas aos seus idosos e à comunidade reduzir custos.


The progressive ageing of the population carries an increase in the number of elderly people who have problems of biological, psychological,and sociological nature, and also of social and interpersonal relationships. It is estimated that in 2030, the old over 65 years constitute one quarter of the population that comprises the current European Union countries. The services that can respond adequately to the varied needs of the aged are not often distributed. Among the most emergent problems, appears loneliness, lack of opportunities for relationship, the growing fears of marginalization, the aggressions (especially in big cities) and the fear of disease and disability. Another problem is the loss from cognitive and affective decline. From this study, we find out that the family and the support group are rarely prepared in an appropriate way to face new demands and difficulties that arise even under the clinical level. The family often struggles to support and assist the elderly, yet one is aware of the importance of new local facilities and services capable of satisfying the requirements of the elderly population. In this context, the Day Center for the frail elderly is a qualified answer to the needs that emerge as it allows the elderly to stay at their homes, their families to remain close to their elders and the community to reduce costs.


Subject(s)
Aging/psychology , Health Services for the Aged , Frail Elderly/psychology , Quality of Life/psychology , Social Support , Rome
17.
Article in Korean | WPRIM | ID: wpr-76166

ABSTRACT

BACKGROUND/AIMS: Korean patients with constipation have differences, both among themselves and as compared to other populations, with regard to race, diet, and cultural factors and are expected to have different characteristics to those of western patients, but few studies have been conducted in this regard. We evaluated the epidemiological and physiological characteristics of patients with constipation who visited a tertiary referral center. METHODS: A total of 338 patients with constipation were included. They completed a questionnaire and took physiological tests such as defecography, colon transit time, and anorectal manometry. We classified the types of constipation according to the physiological tests and analyzed the results. RESULTS: The mean age of the study patients was 53.8 +/- 16.3 years and 42.3% of the patients were > or = 60 years old. Patients who had tried folk remedies reached 64.3%. Among the self-reported patients with constipation, 89.1% satisfied the Rome III criteria for constipation. However, 84% of the patients who did not satisfy the criteria showed abnormal results on the physiological tests. Patients with normal transit constipation, slow transit constipation, and dyssynergic defecation were 21%, 27%, and 29% of the all patients, respectively. Rectal hyposensitivity was found in 16.9% of patients and 25% of them revealed anatomic abnormalities on defecography. CONCLUSIONS: Korean patients with constipation have a tendency to delay an accurate diagnosis and treatment and to use folk remedies. As physiological tests for patients with constipation who visited a tertiary hospital showed a relatively high rate of abnormal results, such as dyssynergic defecation and anatomic problems, active physiological evaluations should be considered for such patients.


Subject(s)
Colon , Constipation , Continental Population Groups , Defecation , Defecography , Diet , Humans , Manometry , Medicine, Traditional , Surveys and Questionnaires , Referral and Consultation , Rome , Tertiary Care Centers
18.
Article in English | WPRIM | ID: wpr-86416

ABSTRACT

BACKGROUND/AIMS: This study evaluated the effect of Helicobacter pylori eradication on functional dyspepsia (FD), and the relationship between the changes of histological gastritis and FD symptom responses. METHODS: A total of 213 FD patients diagnosed by Rome III criteria were consecutively enrolled. H. pylori tests and gastritis grade by the Sydney system were performed before and 1 year after the proton pump based-eradication therapy for 7 days. Serum levels of pepsinogen, and genetic polymorphisms IL-6, IL-8 and IL-10 were investigated. RESULTS: Total of 91 patients completed the 1 year follow-up. When the response rate of dyspepsia was compared at 1 year between the non-eradicated group (n = 24) and eradicated group (n = 67), each group showed complete response of 62.5% and 62.7%; satisfactory response (> or = 50%) of 0.0% and 19.4%; partial response (< 50%) of 12.5% and 11.9%; and refractory response of 25.0% and 6.0%, respectively (P = 0.015). In addition, the responder group (complete + satisfactory response) at 1 year showed improvement of activity and chronic inflammation in both the antrum and corpus (all P < 0.001). Multivariate analysis showed that H. pylori eradication (OR, 5.81; 95% CI, 1.07-31.59) and symptom improvement at 3 month (OR, 28.90; 95% CI, 5.29-157.82) were associated with the improvement of dyspepsia at 1 year. Among the successfully eradicated FD patients (n = 67), male (P = 0.013) and higher initial BMI (P = 0.016) were associated with the improvement of dyspepsia at 1 year. CONCLUSIONS: H. pylori eradication improved FD symptoms, as well as gastritis at 1 year, suggesting that inflammation mediates FD.


Subject(s)
Dyspepsia , Follow-Up Studies , Gastritis , Helicobacter , Helicobacter pylori , Humans , Inflammation , Interleukin-10 , Interleukin-6 , Interleukin-8 , Male , Multivariate Analysis , Pepsinogen A , Polymorphism, Genetic , Proton Pumps , Rome
19.
Article in English | WPRIM | ID: wpr-124286

ABSTRACT

BACKGROUND/AIMS: Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorders and when compared to the vast knowledge pertaining to adults with IBS, very little is known about IBS in children and adolescents. We aimed to explore the prevalence of IBS, identify symptoms and contributing factors and also to examine the efficacy of trimebutine maleate in children and adolescents. METHODS: The study involved 345 children and adolescents (4-18 years) and parents were requested to fill in a questionnaire, Rome III criteria was used to diagnose IBS. To exclude organic disease, all patients underwent medical investigations. Half of the randomly selected IBS patients were treated with trimebutine maleate while the rest of IBS patients were not. The IBS patients were reevaluated at the end of 3 weeks. RESULTS: The prevalence of IBS according to Rome III criteria in children and adolescents was 22.6% and IBS with constipation was the predominant subtype. Back pain (OR, 6.68), headache (OR, 4.72) and chronic fatigue (OR, 3.74) were significantly higher in IBS group. The prevalence of IBS in both parents and depression in mothers was greater for the patient group than the healthy controls (P < 0.0001). The prevalence of functional dyspepsia in IBS group was 80.8% and was significantly higher than control group. Clinical recovery was seen in 94.9% of the trimebutine maleate group versus spontaneous recovery in 20.5% of the non-medicated group. The difference was significant (P < 0.0001). CONCLUSIONS: IBS is a common disorder in children and adolescents. IBS is closely associated with somatic and familial factors. Trimebutine maleate is effective for pediatric IBS patients.


Subject(s)
Adolescent , Adult , Back Pain , Child , Constipation , Depression , Dyspepsia , Fatigue , Gastrointestinal Diseases , Headache , Humans , Incidence , Irritable Bowel Syndrome , Maleates , Mothers , Parents , Prevalence , Surveys and Questionnaires , Rome , Trimebutine
20.
Article in English | WPRIM | ID: wpr-23374

ABSTRACT

Despite being a large ethnic group within the South-East Asia, there is a paucity of reported literatures on dyspepsia in the Malay population. Recent population-based studies indicate that uninvestigated dyspepsia, based on the Rome II criteria, is reported in 12.8% and 11.6% of Malays in the urban and rural communities respectively. Organic causes of dyspepsia including upper gastrointestinal tract cancers, its precancerous lesions, and erosive diseases are uncommon which is largely due to an exceptionally low prevalence of Helicobacter pylori infection in this population. On the other hand, functional dyspepsia and irritable bowel syndrome are relatively common in the Malays than expected. Within a primary care setting, functional dyspepsia, based on the Rome III criteria, is reported in 11.9% of Malays, of which epigastric pain syndrome is found to be more common. Married Malay females are more likely to have functional dyspepsia and psychosocial alarm symptoms. Also based on the Rome III criteria, irritable bowel syndrome, commonly overlapped with functional dyspepsia, is reported in 10.9% of Malays within a community-based setting. Rather than psychosocial symptoms, red flags are most likely to be reported among the Malays with irritable bowel syndrome despite having a low yield for organic diseases. Based upon the above observations, "proton pump inhibitor test" is probably preferable than the "test and treat H. pylori" strategy in the initial management of dyspepsia among the Malays.


Subject(s)
Asia , Dyspepsia , Ethnic Groups , Female , Hand , Helicobacter pylori , Humans , Irritable Bowel Syndrome , Malaysia , Prevalence , Primary Health Care , Rome , Rural Population , Upper Gastrointestinal Tract
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